HISTOPLASMOSIS: A REVIEW, WITH REPORT OF A FATAL AUSTRALIAN CASE

7. The treatment is operation, and my natural preference is for thoracotomy. There are good reasons for early operation: (a) The status quo of intrathoracic mechanics ought to be restored as soon as possible. A damaged myocardium will demand as little hindrance as possible if it is to recover. The sequence of events following distension of the fundus in Case VII adequately demonstrated this feature. (b) Repair of the hernia at this stage is a very simple procedure. 8. The patient ought to be looked upon as having sustained a coronary occlusion and treated accordingly postoperatively.